J Korean Acad Fundam Nurs.  2023 Feb;30(1):1-12. 10.7739/jkafn.2023.30.1.1.

Factors Affecting Quality of Life in Hemodialysis Patients

• Lim KH
• Kwon GS

• KMID: 2539853
• DOI: http://doi.org/10.7739/jkafn.2023.30.1.1

Abstract

Purpose
The purpose of this study was to investigate factors affecting quality of life in hemodialysis patients.
Methods
In this descriptive study, the subjects were 127 hemodialysis patients at four dialysis clinics in Pusan and Daegu metropolitan cities. Data were analyzed with descriptive statistics, independent t-test, one-way analysis of variance, Pearson’s correlation coefficients, and stepwise multiple regression analysis using SPSS/WIN version 26.0.
Results
The average scores for social support, symptom experience, physical function, self-care compliance, and quality of life were 3.97±0.66, 38.50±27.94, 2.24±0.60, 3.43±0.49, and 3.02±0.57, respectively. Fifty-five (43.3%) subjects had a type D personality. Quality of life showed significant differences according to educational background (F=6.44, p<.001), job (t=2.52, p=.013), and type D personality (t=4.39, p<.001). Social support (r=.32, p<.001), physical function (r=.45, p<.001), self-care compliance (r=.24, p=.005), albumin (r=.09, p=.027), and phosphorous (r=.27, p=.002) were positively correlated with quality of life. Symptom experience (r=-.40, p<.001) was negatively correlated with quality of life. The factors affecting quality of life were social support (β=.31, p<.001), physical function (β=.30, p<.001), educational background (β=.20, p=.007), type D personality (β=-.19, p<.001), and symptom experience (β=-.18, p=.019), with a total explanatory power of approximately 43%.
Conclusion
Quality of life in hemodialysis patients was affected by social support, physical function, educational background, type D personality, and symptom experience. These factors should be considered in nursing interventions to improve quality of life of hemodialysis patients.

Keyword

Quality of life; Renal dialysis; Social support; Type D personality; 삶의 질, 신장투석, 사회적 지지, D 유형 성격